Postoperative subacute static progressive stretch does not increase the risk of distal lower limb venous thromboembolism  

作　　者：Jun-Kun Zhu Feng-Feng Wu Rui-Feng Yang Fen-Fen Xu Ya-Li Lin Miao-Fang Ye 

机构地区：[1]Orthopedics Rehabilitation Department,Lishui Central Hospital,Lishui,Zhejiang Province,323020,China [2]Rehabilitation Department,Huzhou Central Hospital,Hangzhou,310020,China [3]Orthopedics and Trauma Department,Lishui Central Hospital,Lishui,Zhejiang Province,323020,China

出　　处：《Chinese Journal of Traumatology》2023年第3期178-182,共5页中华创伤杂志（英文版）

基　　金：Zhejiang Health Science and Technology Project(grant number 2018KY939);Zhejiang Provincial Science and Technology Key R&D Project(grant number 2022C03029)。

摘　　要：Purpose:Static progressive stretch(SPS)can be applied to treat chronic joint stiffness.However,the impacts of subacute application of SPS to the distal lower limbs,where deep vein thrombosis(DVT)is common,on venous thromboembolism remain unclear.This study aims to explore the risk of venous thromboembolism events following subacute application of SPS.Methods:A retrospective cohort study was conducted on patients diagnosed with DVT following a lower extremity orthopedic surgery before being transferred to the rehabilitation ward from May 2017 to May 2022.Patients with unilateral lower limb comminuted para-articular fractures,transferred to rehabilitation ward for further treatment within 3 weeks after operation,followed up more than 12 weeks since initial manual physiotherapy,and diagnosed DVT by ultrasound before rehabilitation course were included in the study.Patients with polytrauma,without evidence of previous peripheral vascular disease or incompetence,had medication for thrombosis treatment or prophylaxis before the operation,detected with paralysis due to nervous system impairment,infected after operation during the regime,or with acute progression of DVT were excluded.The included patients were randomized to the standard physiotherapy and the SPS integrated groups for observation.Associated DVT and pulmonary embolism data were collected during the physiotherapy course to compare the groups.SSPS 28.0 and GraphPad Prism 9 were used for data processing.Ap<0.05 was set significant difference.Results:In total of 154 patients with DVT participating in this study,75 of them were treated with additional SPS for postoperative rehabilitation.The participants in the SPS group showed improved range of motion(12.3°±6.7°).However,in the SPS group,there was no difference in thrombosis volume between the start and termination(p=0.106,p=0.787,respectively),although difference was seen intra-therapy(p<0.001).Contingency analysis revealed the pulmonary embolism incidence(OR=0.703)in the SPS group compared to the mean phy

关 键 词：TRAUMA Deep vein thrombosis Rehabilitation Musculoskeletal manipulations Physical therapy modalities 

分 类 号：R543.6[医药卫生—心血管疾病]